| NPI | 1417078379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK LPC1261) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK LD218) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |